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Thank you in advance for your participation! This survey is intended to help employers identify employees’ concerns about their well-being and ways employers can foster well-being in employees’ personal and professional lives. The data you submit is completely confidential, so please provide candid answers.
Instructions: We estimate that this survey will take about 10 minutes to complete.
The next set of questions focuses on your well-being (physical, mental, and emotional health) in your workplace.
Please select one for each row, where 1 is “Strongly Disagree” and 5 is “Strongly Agree.”
1 – Strongly disagree
2 – Somewhat disagree
3 – Neutral
4 – Somewhat agree
5 – Strongly Agree
Q.01 I am able to manage my workload without feeling overwhelmed
Q.02 The work I conduct is meaningful
Q.03 My [team/unit/organization] is committed to increasing diversity and inclusiveness
Q.04 Diversity and inclusion efforts are reflected at the leadership level
Q.05 I feel safe in my work environment
Q.06 My [team/unit/organization] is committed to social responsibility
Q.07 My [team/unit/organization] provides options to assist with stress management
Q.08 I feel comfortable seeking mental health assistance through the channels provided at my organization
Q.09 My organization communicates the importance of work-life balance to employees
Q.10 I feel encourages to seek work-life balance by my organization
Q.11 Leadership demonstrates work-life balance
Q.12 My managers encourage taking time to focus on well-being
Q.13 I feel supported by my co-workers
Q.14 Generally, my workplace supports healthy habits
Q.15 My [team/unit/organization]’s culture supports individual well-being
Q.16 I feel supported to maintain positive mental well-being in my current role
Q.17 I feel supported to maintain positive emotional well-being in my current role
Q.18 I feel supported to maintain positive physical well-being in my current role
Q.19 I have received Health and Safety Training